Premium
Aspergillus aortitis & aortic valve endocarditis after coronary surgery
Author(s) -
Clarke Nicholas S.,
Sengupta Aditya,
Miller Amanda,
Jessen Michael E.,
Murthy Raghav A.
Publication year - 2019
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.14125
Subject(s) - medicine , aortitis , endocarditis , bentall procedure , surgery , debridement (dental) , cardiac surgery , aortic valve replacement , cardiology , aortic root , artery , aortic valve , rare disease , aorta , disease , stenosis
The authors report a case of Aspergillus aortitis and aortic valve endocarditis that developed after coronary artery bypass surgery resulting in recurrent, embolic, bilateral lower extremity ischemia. This necessitated multiple lower extremity embolectomies followed by redo‐sternotomy, extensive annular debridement, root reconstruction with a modified Bentall technique, and hemiarch replacement. This case highlights the challenges in diagnosis and management of this rare disease entity and some of its devastating complications.